Individual provider Active NPI

Sun Hae Choi, DMD

  • Dentist
  • Menlo Park, CA
National Provider Identifier
1568608149
Registry record updated Mar 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
62232 Issued in CA
Practice address
565 Willow Rd Apt 2
Menlo Park, CA 94025-2602
Phone
(617) 877-0389
NPI assigned
Jan 2, 2009
Last updated
Mar 15, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X P66037 NY
Dentist 122300000X DN1855247 MA
Dentist 122300000X 62232 CA Primary

Addresses

Primary practice location

565 Willow Rd Apt 2
Menlo Park, CA 94025-2602

Mailing address

565 Willow Rd Apt 2
Menlo Park, CA 94025-2602
Phone (617) 877-0389

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151231001550 CA Order and Referring Only - DentistPractitioner - Dentist 2860794211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1855247MAMDDentist
P66037NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sun Hae Choi, DMD, Dental Corp. Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1230854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363305600000",
    "number": "1568608149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 WILLOW RD APT 2",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940252602",
            "telephone_number": "617-877-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 WILLOW RD APT 2",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940252602",
            "telephone_number": "617-877-0389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "SUN HAE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-02",
        "last_updated": "2013-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "P66037",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1855247",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "62232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

Verify at the official NPI Registry.